Organization Active NPI

The Cousin Family LLC

Doing business as The Cousin Agency

  • Surgical Assistant
  • Austell, GA
National Provider Identifier
1922343359
Registry record updated Dec 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
Legal business name
THE COUSIN FAMILY LLC
Doing business as
The Cousin Agency
Practice address
2847 Veterans Memorial Hwy SW Unit 888
Austell, GA 30168-1108
Phone
(770) 875-1243
NPI assigned
Dec 12, 2012
Last updated
Dec 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Herbert Louis Cousin Jr., CSA
Title
Owner
Phone
(770) 875-1243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X Primary

Addresses

Primary practice location

2847 Veterans Memorial Hwy SW Unit 888
Austell, GA 30168-1108

Mailing address

2847 Veterans Memorial Hwy SW Unit 888
Austell, GA 30168-1108
Phone (770) 875-1243

Other names 1

  • The Cousin Agency Doing business as

National Provider Directory

National Provider Directory

Locations

2847 Veterans Memorial Hwy SW
Unit 888
Austell, GA 30168
Phone (770) 875-1243

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355270400000",
    "number": "1922343359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2847 VETERANS MEMORIAL HWY SW UNIT 888",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301681108",
            "telephone_number": "770-875-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2847 VETERANS MEMORIAL HWY SW UNIT 888",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301681108",
            "telephone_number": "770-875-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COUSIN FAMILY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-12",
        "last_updated": "2012-12-12",
        "status": "A",
        "authorized_official_last_name": "COUSIN",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-875-1243",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CSA"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Cousin Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.